Organization
JAMES M. JOLLY, JR., D.M.D, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MARVIN JOLLY JR. D.M.D (OWNER)
(606) 439-4581
Entity
Organization
Contact information
Practice address
1724 N MAIN ST, HAZARD, KY 41701-1278
(606) 439-4581
(606) 439-2873
Mailing address
1724 N MAIN ST, HAZARD, KY 41701-1278
(606) 439-4581
(606) 439-2873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5604
KY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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